Customer Identification Form (CIF)

1 Page 1 of 6 STG2122 SGB CIF 1119 SECTION 1 Details of Individual to be identified (Individual Customers and Sole Traders)CIS no. (if known)Account number (if known)Account nameIndividual (name in full)Date of birthGenderAre you known by any other names? / / Male Female Yes NoIf yes, please specify all names (use a separate sheet if required)Residential address (PO Box not allowed)Employment type: Please select the employment type that reflects your current situation best. Casual Independent Contractor Retired Student Dependant Contractor Other Self Employed Temporary Full Time Part Time Social Security Recipient UnemployedOccupationPurpose of business relationship: This refers to your reasons for engaging with us to obtain products and services. Customers may have multiple reasons for dealing with us.

2 Please indicate all of these reasons below. Transactional Short Term Borrowing Protection Financial Markets Savings Long Term Borrowing Wealth Correspondent Banking Additional information (please specify)Source of funds: This refers to the origin of the funds that are the subject of the business relationship between you and us. Please note that many customers have multiple sources of funds. Please indicate all sources of funds below. Salary/Wages Investment income/earnings Compensation payment Inheritance Commission Rental income Government benefits Gift/Donation Bonus Superannuation/Pension Sale of assets Windfall Business income/earnings Loan Liquidation of assets Tax refund Business profits Insurance payment Redundancy Additional sources (please specify) Bank A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence Motor Finance Limited ABN 53 007 656 555 Australian credit licence Finance Limited ABN 99 001 094 471 Australian credit licence Identification form (CIF)Information RequiredIndividual Customers must complete section 1, 3 and 4 Sole Traders must complete sections 1, 2, 3 and 4.

3 Page 2 of 6 STG2122 SGB CIF 1119 SECTION 1 continuedSource of wealth: This refers to the origin of your total net assets/total net worth. Please note that many customers will have multiple sources of wealth. Please indicate all sources of wealth below. Employment income/earnings Superannuation/Pension Liquidation of assets Redundancy Insurance payment Inheritance Business income/earnings Compensation payment Gift/Donation Business profits Government benefits Windfall Investment income/earnings Owns real estate/property None Rental income Sale of assets Additional sources (please specify)SECTION 2 Details to be completed by Sole Traders onlyFull Business/Trading NameABN (if any)Full address of the principal place of business (PO Box not allowed) (if any)Business Classification (ANZSIC)SECTION 3 Foreign Tax Residency InformationAre you a tax resident for any other country outside of Australia?

4 Yes NoIf yes please indicate the country(ies) in which you are a resident for tax purposes and each country s associated Tax Identification Number (TIN)*.If a TIN is not available, please select one of the reasons against the appropriate country:* A foreign TIN is an identifying number or equivalent issued by the individual country of tax residency that is used for tax purposes. NOTE: If you have more than 3 countries in which you are a tax resident, please photocopy this section to provide more Identification Number (TIN)Reason (if a TIN not available) Foreign TIN not issued by this country Individual is underage (applies to individuals only) Foreign TIN pending issue by the countries tax authority Foreign TIN not issued by this country Individual is underage (applies to individuals only) Foreign TIN pending issue by the countries tax authority Foreign TIN not issued by this country Individual is underage (applies to individuals only) Foreign TIN pending issue by the countries tax authorityPage 3 of 6 STG2122 SGB CIF 1119 SECTION 4 Details Certified for an Individual (Individual Customers and Sole Traders)Information Required.

5 Certifiers must complete the Certifier s details & declaration section on the following page and certify legible copies of either: One document from Group 1 OrOne document from Group 2 and one other document from Group 1 Primary Photographic Identification Documents. Australian Passport (current or expired by less than 2 years). Foreign passport issued by a foreign government, the United Nations or an agency of the United Nations. Foreign Travel document issued by a foreign government, the United Nations or an agency of the United Nations. Australian licence/permit. Foreign driver s licence which contains a photograph. Proof of age card issued by State or Territory. National Identity card issued by a foreign government, the United Nations or an agency of the United 2 Primary Non-Photographic Identification Documents.

6 Australian Birth Certificate or extract. Foreign Birth Certificate. Citizenship Certificate Australian. Citizenship Certificate Foreign. Centrelink Pension 3 Secondary Identification Documents. Notice of Financial Benefits issued by a Commonwealth or State/Territory Department (less than 12 months old). Notice issued by the Australian Taxation Office (issued in the last 12 months). Notice issued by a Local Government Body or Utilities Provider (less than 3 months old). Foreign driver s licence which does not contain a photograph. Department of Veteran s Affairs pension card. Tenancy/lease agreement (must be current). Medicare Card. Australian Marriage Certificate. Student ID card issued by an Australian tertiary institution (TAFE or University). Notice issued by the principal of a school (less than 3 months old, must include the name of the Customer , residential address, period of school attendance & be issued on a school letterhead).

7 A current card issued under Commonwealth, State or Territory law for the purpose of Identification for a government service or as a Provisions for Refugees only, either of the following documents. Certificate of Identity issued by the Australian Government. Convention Travel Document (Titre de Voyage or equivalent) issued by the Australian 4 of 6 STG2122 SGB CIF 1119 SECTION 4 continuedSignature of Individual to be identifiedIndividual (name in full)Individual s SignatureDate / /Certifier s Details and DeclarationNote to Certifier: Please ensure copies are legible and record the following on each copy of the Identification provided. This is a true copy of an original or certified copy document provided ; then print and sign your name, date and Qualification No.

8 (if applicable) and also provide your details below so that we may contact you if necessary to confirm this s DeclarationI certify that:1. The person named above signed this form in my I sighted originals of the documents noted on reverse of I am satisfied that the documents produced were genuine and that to the best of my knowledge they confirm the name,address and/or date of birth of the person named no. of acceptable certifier (see list below)Qualification no. (if applicable)Full Name of CertifierTitleFirst NameFamily NameResidential address PO Box not allowedDaytime Contact NumberCountry CodeArea CodeSignatureDate / /Our reporting obligationsWe are required to identify tax residents of a country(ies) other than Australia in order to meet account information reporting requirements under local and international at any time after account opening, information in our possession suggests that you, the entity and/or any individual who holds ownership and/or control in the entity of 25% or more (controlling person/beneficial owner) may be a tax resident of a country(ies)

9 Other than Australia, you may be contacted to provide further information on your foreign tax status and/or the foreign tax status of the entity and/or any controlling person/beneficial owner. Failure to respond may lead to certain reporting requirements applying to the completing this application you certify that if at any time there is a change to the foreign tax status details for you, the entity and/or any controlling person/beneficial owner, you will inform the bank. You will also certify that at any time there is a change of a controlling person/s/beneficial owner/s in your entity you will inform the controlling person/beneficial owner refers to the individuals(s) that directly or indirectly owns a legal interest in the entity of 25% or more and/or exercises actual effective control over the entity, whether from an economic or other perspective such as through voting rights.

10 In addition, in the case of a trust, a controlling person/beneficial owner includes the settlor(s), trustee(s), appointer(s), protector(s), beneficiary(ies), or classes of beneficiaries and in the case of an entity other than a trust, the term includes person in equivalent or similar positions. Page 5 of 6 STG2122 SGB CIF 1119 SECTION 4 continuedPrivacy StatementOur privacy policy is available at or by calling 13 33 30, and covers how we handle your personal information. Categories of acceptable certifiersIn Australia1. A person who, under a law in force in a State or Territory, is currently licensed or registered to practise in one of the following occupations: Chiropractor Dentist Legal practitioner Medical practitioner Nurse Optometrist Patent attorney Pharmacist Physiotherapist Psychologist Trade marks attorney Veterinary surgeon 2.